Individual
MARY MAY HAERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, AGPCNP-BC
Contact information
Practice address
191 LOWER ST, SHELBURNE FALLS, MA 01370-9402
(413) 625-9300
Mailing address
191 LOWER ST, SHELBURNE FALLS, MA 01370-9402
(413) 625-9300
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2292514
MA
363LG0600X
Gerontology Nurse Practitioner
RN2292514
MA
363LP2300X
Primary Care Nurse Practitioner
RN2292514
MA
Other
Enumeration date
08/02/2014
Last updated
10/30/2014
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